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One of the main features of Gilles Deleuze’s lectures of 1981 concerns the importance accorded to the notion of modulation as a philosophical definition of painting. The novelty of such a framework lies in the correspondences established between analogical operations and artistic spaces of Western art. This article establishes the main moments of this analysis and thus point out its main technical, historical, and aesthetic implications. Ultimately, the notion of modulation is considered as the conceptual operator of a “heterogenetic” history of art within the framework of Deleuze’s philosophy.
Bipolar disorder is highly prevalent and consists of biphasic recurrent mood episodes of mania and depression, which translate into altered mood, sleep and activity alongside their physiological expressions.
Aims
The IdenTifying dIgital bioMarkers of illnEss activity and treatment response in BipolAr diSordEr with a novel wearable device (TIMEBASE) project aims to identify digital biomarkers of illness activity and treatment response in bipolar disorder.
Method
We designed a longitudinal observational study including 84 individuals. Group A comprises people with acute episode of mania (n = 12), depression (n = 12 with bipolar disorder and n = 12 with major depressive disorder (MDD)) and bipolar disorder with mixed features (n = 12). Physiological data will be recorded during 48 h with a research-grade wearable (Empatica E4) across four consecutive time points (acute, response, remission and episode recovery). Group B comprises 12 people with euthymic bipolar disorder and 12 with MDD, and group C comprises 12 healthy controls who will be recorded cross-sectionally. Psychopathological symptoms, disease severity, functioning and physical activity will be assessed with standardised psychometric scales. Physiological data will include acceleration, temperature, blood volume pulse, heart rate and electrodermal activity. Machine learning models will be developed to link physiological data to illness activity and treatment response. Generalisation performance will be tested in data from unseen patients.
Results
Recruitment is ongoing.
Conclusions
This project should contribute to understanding the pathophysiology of affective disorders. The potential digital biomarkers of illness activity and treatment response in bipolar disorder could be implemented in a real-world clinical setting for clinical monitoring and identification of prodromal symptoms. This would allow early intervention and prevention of affective relapses, as well as personalisation of treatment.
Medical assistance in dying for mental illness as a sole underlying medical condition (MAiD MI-SUMC) is a controversial and complex policy in terms of psychosocial and ethical medical practice implications. We discuss the status of MAiD MI-SUMC in Canada and argue for the use of the UK Medical Research Council's framework on complex interventions in programme evaluations of MAiD MI-SUMC. It is imperative to carefully and rigorously evaluate the implementation of MAiD MI-SUMC to ensure an understanding of the multiple facets of implementation in contexts permeated by unique social, economic, cultural and historical influences, with a correspondingly diverse array of outcomes. This requires a complexity-informed programme evaluation focused on context-dependent mechanisms and stakeholder experiences, including patients, service providers and other people affected by the policy. It is also important to consider the economic impact on health and social welfare systems. Such evaluations can provide the data needed to guide evidence-informed decision-making that can contribute to safer implementation and refinement of MAiD MI-SUMC.
A reference sample of sepiolite and products of its comminution by vibrating dry-milling have been studied using X-ray diffraction (XRD) line-broadening analysis, complementary field emission scanning electron microscopy (FESEM) images and surface area measurements. The apparent crystallite sizes determined via XRD are in agreement with observations on FESEM images. The sepiolite aggregates consist of lath-shaped agglutinations of prisms and pinacoids elongated along [001], each lath including several crystallites in that direction. The surface area magnitudes are in the range of previous experimental measurements of other sepiolites. The results obtained show the effectiveness of vibro-milling as the procedure to use for the comminution of sepiolite.
Due to the great technological importance of the microstructure of kaolinite, characterizing its evolution during dry milling of kaolin and analyzing the microstructural information obtained from different methods were the main aims of this work. The microstructural alteration of kaolinite is evaluated by X-ray diffraction and electron microscopy methods, comparing the results obtained and analyzing the correlations between them. The Warren-Averbach and Voigt-function methods of X-ray diffraction microstructural analysis have been applied successfully to the study of the effects of two different, vibrating-cup dry-milling configurations in the microstructure of kaolinite from the reflections corresponding to (001) diffracting planes. The crystallite-size estimates obtained from the two methods correlate well. Field emission scanning electron microscopy measurements of kaolinite particle thickness are in good agreement with the crystallite size estimated by the two methods. The Warren-Averbach method also provided estimates of the contribution to line broadening. Vibrating-cup milling has been proved to be a more efficient method of strain comminution of kaolinites than other milling techniques, reaching extensive microstructural degradation within seconds.
New technologies have been steadily impacting and redefining the health care landscape over the last decades, a process recently enhanced by the covid-19 pandemics . VR is an advanced media that can simulate highly realistic virtual environments, providing a high sense of immersion (the feeling of “being really there”). VR has expanded its healthcare application over the last years. Surprisingly, the acute psychiatry ward has been, so far, systematically left out of the VR application field. Psychiatric wards are complex environments. Patients are frequently admitted against their will and many wards have a locked doors policy, with subsequent feelings of seclusion experienced by patients. Therefore the question emerges: could VR help psychiatry inpatients have a better experience during their hospitalization?
Objectives
This is a pilot study where psychiatry inpatients are offered a single session with the Oculus Quest 2, where they are immersed in a computer generate scenario provided by a commercially available software (“Nature Treks”). The scenario is a nature-based immersive 360° walk. Patients are allowed to freely explore the scenario with no time restraints.
Methods
The STAI (State-Trait Anxiety Inventory), and the PANAS (Positive and Negative Affect Schedule) questionnaires are completed by patients before and after the VR exposure. After exposure, patients are also asked to complete the SUS (System Usability Scale) questionnaire, the IQ-presence questionnaire and the SSQ (Simulator Sickness Questionnaire). Electrophysiological recordings are gathered with the Empatica E4.
Results
Up to date, 4 patients have been recruited. The sessions have lasted around 10 minutes. Reductions in the STAI and the PANAS have been reported by 3 patients (with no statistical significance so far). Usability has been extremely high as reported by the SUS. Minimal adverse reactions to VR use have been reported in the SSQ, mainly dizziness and nausea.
Conclusions
VR has a high potential to ameliorate the conditions of psychiatry inpatients admitted to a close-doors ward. As with many technological novelties, implementation and sustainability will be key. The small evidence provided by this pilot study points out to an initial good acceptability and potential efficacy in some patient-related outcomes.
Mood episodes in bipolar disorder (BD) are still identified with subjective retrospective reports and scales. Digital biomarkers, such as actigraphy, heart rate variability, or ElectroDermal activity (EDA) have demonstrated their potential to objectively capture illness activity.
Objectives
To identify physiological digital signatures of illness activity during acute episodes of BD compared to euthymia and healthy controls (HC) using a novel wearable device (Empatica´s E4).
Methods
A pragmatic exploratory study. The sample will include 3 independent groups totalizing 60 individuals: 36 BD inpatients admitted due to severe acute episodes of mania (N=12), depression (N=12), and mixed features (N=12), will wear the E4-device at four timepoints: the acute phase (T0), treatment response (T1), symptoms remission (T2) and during euthymia (T3; outpatient follow-up). 12 BD euthymic outpatients and 12 HC will be asked to wear the E4-device once. Data pre-processing included average downsampling, channel time-alignment in 2D segments, 3D-array stacking of segments, and random shuffling for training/validation sets. Finally, machine learning algorithms will be applied.
Results
A total of 10 patients and 5 HC have been recruited so far. The preliminary results follow the first differences between the physiological digital biomarkers between manic and depressive episodes. 3 fully connected layers with 32 hidden units, ectified linear activation function (ReLU) activation, 25% dropout rate, significantly differentiated a manic from a depressive episode at different timepoints (T0, T1, T2).
Conclusions
New wearables technologies might provide objective decision-support parameters based on digital signatures of symptoms that would allow tailored treatments and early identification of symptoms.
This paper derives asymptotic risk (expected loss) results for shrinkage estimators with multidimensional regularization in high-dimensional settings. We introduce a class of multidimensional shrinkage estimators (MuSEs), which includes the elastic net, and show that—as the number of parameters to estimate grows—the empirical loss converges to the oracle-optimal risk. This result holds when the regularization parameters are estimated empirically via cross-validation or Stein’s unbiased risk estimate. To help guide applied researchers in their choice of estimator, we compare the empirical Bayes risk of the lasso, ridge, and elastic net in a spike and normal setting. Of the three estimators, we find that the elastic net performs best when the data are moderately sparse and the lasso performs best when the data are highly sparse. Our analysis suggests that applied researchers who are unsure about the level of sparsity in their data might benefit from using MuSEs such as the elastic net. We exploit these insights to propose a new estimator, the cubic net, and demonstrate through simulations that it outperforms the three other estimators for any sparsity level.
ABSTRACT IMPACT: Understanding the needs and barriers or facilitators to participation in research, especially among minority communities is critical not only for COVID-19 research but also for future clinical and translational research and health disparities studies. OBJECTIVES/GOALS: The overall goal of this project is to enhance education, awareness, access, and inclusion of underserved communities across Florida in COVID-19 research, especially among Black and Hispanic minority groups that are disproportionately affected by COVID-19. METHODS/STUDY POPULATION: Through strategic partnership among five academic institutions and community-based organizations across the state of Florida, the FL-CEAL team will implement focus groups and surveys in minority communities in Florida to gauge the awareness and understanding of COVID-19, and the barriers and facilitators for participation in COVID-19 research studies. These communities include but are not limited to Latinx and Black populations in South and Central Florida, and Black communities in North Florida. The outcomes will help shape strategies for outreach and dissemination activities and minority recruitment plans to promote participation of minorities into vaccine and therapeutic trials. RESULTS/ANTICIPATED RESULTS: An estimated 75-125 participants will be recruited for focus groups. Four focus groups with minority communities have been conducted and the results are being analyzed. A common Community-Based Needs Assessment survey is being finalized and will be deployed across the 11 states that are part of the national CEAL consortium. Community Health Workers are being engaged to support outreach and dissemination to educate targeted communities on COVID-19 research and the importance of participation in COVID trials. To date, 243 CHWs and 880 community members have been engaged. Minority participation in COVID-19 vaccine trials at University of Miami has been higher than the national average. DISCUSSION/SIGNIFICANCE OF FINDINGS: The FL-CEAL Alliance has successfully demonstrated a coordinated effort to engage minority communities affected by COVID. Through strategic geographic partnerships, FL-CEAL will positively impact minority communities throughout the state that has one of the most diverse populations in the nation.
In South-western Atlantic waters, individuals of the southern right whale (SRW) Eubalaena australis spend part of the year (the austral winter and spring) in northern inshore waters where they breed and then migrate to southern feeding grounds during the summer. Mar del Plata (MDP) is located between two main reproductive areas (Península Valdés-Argentina and Santa Catarina-Brazil). The purpose of the present study is to report the presence of SRWs on their journey off the coast of MDP based on sighting records during the past half century. We carried out whale observations through systematic weekly coastal marine mammal surveys in different points of the MDP area from 1966 to 2016. The first SRW sighting was recorded in 1970; since then, sighting frequency has gradually increased, reaching a peak of 28 sightings (N = 63 whales) in 2016. These are unique long-term sighting records of SRWs in Argentina and the first on their journey off the shores of Buenos Aires province. We expect that these results will help local authorities to regulate tourism and other activities in the area and thereby contribute to the conservation of the species.
There is a forceful new impetus toward mega-hydraulic projects in Latin America, which are booming but also highly controversial. They bring benefits to some social groups while many others are negatively affected. Technocratic discourses are dominant in the region; they strategically mobilize institutions, infrastructure, money, and knowledge to present particular hydrosocial territorial imaginaries—such as multipurpose dams—as natural, universal, and politically neutral. Meanwhile, affected local communities commonly envision and practice different discourses, values, and worldviews, based on contextualized notions of well-being and territoriality. Using a political ecology perspective, this article examines how the Daule-Peripa mega-hydraulic scheme—Ecuador’s “hydraulic heart”—has de- and repatterned the territory, producing new hierarchical relations and unequal distribution of socioenvironmental impacts. Though political discourses have changed throughout state-centralist and neoliberal époques, governmental policies and practices have continued and renewed their defense of mega-hydraulism. In turn, affected communities and families, through everyday territorial politics, respond and aim to rearrange the hydrosocial network in order to regain control over water, land, and territorial services.
Compost production is a critical component of organic waste management. One of the most important properties of compost is its ability to suppress soil-borne pathogens such as Phytophthora nicotianae in pepper plants. Both the physico-chemical and biological properties of composts can be responsible for the suppression of pathogens, although biological properties are the main driver. In this study, we analyzed composts with various levels of suppressiveness against P. nicotianae. We analyzed both physico-chemical properties like pH and electrical conductivity and biological properties like microbial activity, amplicon sequencing and metaproteomics. We believed that the link between community structures and proteins could provide deep insights into the mechanism of compost suppressiveness. Our results indicate that there are differences between suppressive and non-suppressive composts at the phylogenetic level (sequencing) and at the functional level (based on analysis of the cluster of orthologous groups, COGs). The proteins identified were assigned to the carbohydrate process, cell wall structure and inorganic ion transport and metabolism. Proteobacteria could also be new indicators of P. nicotianae suppression.
Compositional and microstructural analysis of mullites in porcelain whitewares obtained by the firing of two blends of identical triaxial composition using a kaolin B consisting of ‘higher-crystallinity’ kaolinite or a finer halloysitic kaolin M of lower crystal order was performed. No significant changes in the average Al2O3 contents (near the stoichiometric composition 3:2) of the mullites were observed. Fast and slow firing at the same temperature using B or M kaolin yielded different mullite contents. The Warren–Averbach method showed increase of the D110 mullite crystallite size and crystallite size distributions with small shifts to greater values with increasing firing temperature for the same type of firing (slow or fast) using the same kaolin, as well as significant differences between fast and slow firing of the same blend at different temperatures for each kaolin. The higher maximum frequency distribution of crystallite size observed at the same firing temperature using blends with M kaolin suggests a clearer crystallite growth of mullite in this blend. The agreement between thickening perpendicular to prism faces and mean crystallite sizes <D110> of mullite were not always observed because the direction perpendicular to 110 planes is not preferred for growth.
Chemical and mineralogical analyses of fossil caliche profiles developed on top of Lower Pleistocene alluvial formations in the East-central sector of the Ebro basin indicate that they have high content of carbonate (average 84%) and high Ca/Mg ratios (average 136). The clay mineral assemblages vary slightly depending on the host material, and, therefore, on the alluvial formation in the source area. Inherited detrital minerals (illite, kaolinite and chlorite), transformed components (from chlorite to mixed-layers of chlorite-vermiculite, and from smectite to palygorskite) and a neoformed phase (palygorskite) have been observed. The contents of carbonate and magnesian clay minerals (smectite and palygorskite) increase from the bottom to the top of the profiles, in relation to hardpan laminated caliche facies. The amount of palygorskite is controlled by the concentration of Mg2+ which in turn depends on the absolute content of Mg2+ in the host material and on its relative concentration by processes of evaporation linked to decreasing permeability in the profile during the biogenic-pedogenetic carbonate accumulation stages. These processes form part of the development of caliche profiles in a semi-arid environment.
Edited by
Rutgerd Boelens, Wageningen Universiteit, The Netherlands,Tom Perreault, Syracuse University, New York,Jeroen Vos, Wageningen Universiteit, The Netherlands
This chapter explores hydrosocial territories as spatial-political configurations of people, institutions, water flows, hydraulic technology and bio-physical elements revolving around water control. Territorial politics confronts diverse actors whose spatial and political-geographical projects compete, superimpose and align their territorialization strategies in order to strengthen their water control claims. In practice, hydro-social territories that are imagined, planned or actually materialized, have functions, values and meanings that are different or even incommensurable for the parties involved. Conflicts over water governance, development and distribution therefore involve diverging regimes of representation, each aiming to conceptualize, arrange and materialize water realities in different and often mutually contradicting manners. Using a political ecology focus and providing illustrations from Peru, Colombia, Ecuador and Turkey, this chapter discusses how such territorial reconfiguration projects may generate and stabilize profound water injustices, while movements’ struggles for techno-political re-composition may challenge dominant hydro-territorialization projects.
Using a case study of the Trio indigenous peoples in Suriname, Conflict and Sustainability in a Changing Environment presents an inside view of a community facing climate change and on the path toward sustainable development. Smith and Bastidas take the reader beyond an examination of examples from the field of practice and into a thorough case study on climate change. With more than ten years of field experience, Smith and Bastidas present an in-depth, bottom-up analysis of sustainable development, including tools for practitioners, insight for academics and advice to policymakers.
The Tremp–Isona basin (south-central Pyrenees, Lleida, Spain) shows maximum development of the Tremp Group (early Maastrichtian to late Paleocene) covering a wide geological record across the Cretaceous–Paleogene (K/Pg) boundary in continental facies. The mineralogy and geochemistry of lutites were used to assess the evolution of weathering from the Maastrichtian to the Eocene, and particularly for the red beds of the Lower Red and Upper Red Units (pre- and post-K/Pg, respectively). Chemical weathering decreased initially in the Maastrichtian (Gray Unit to Lower Red Unit), increasing subsequently from the Paleocene (Upper Red Unit) to Eocene units. ANOVA analysis of mineralogical compositions and cluster hierarchical analysis have been useful tools to select convenient lutites for assessment of weathering evolution by the chemical alteration index and by broadening of the 001 X-ray diffraction line of illite after ethylene glycol solvation. The lesser chemical weathering found in the Upper Red Unit (Danian) is interpreted in the context of relative warming and aridification, in climates of contrasting seasons and pronounced dry seasons.
Knowledge of growth patterns of an animal species is fundamental to understand their life history. This information is also used to help define population boundaries of threatened cetaceans, such as the Franciscana dolphin, Pontoporia blainvillei. A total of 108 Franciscana dolphins incidentally captured in artisanal fishing nets in estuarine and marine coastal waters of the northern part of the Franciscana Management Area IV (North FMA IV), Argentina, were studied. The objective of the present paper was to study age and growth parameters of Franciscanas from North FMA IV and to compare these parameters between estuarine and marine potential populations within this area. We used von Bertalanffy and Gompertz growth curves to model growth trajectories. The estimated asymptotic lengths demonstrated that Franciscana dolphins from this area were smaller (females: 136.3 cm and males, 122.1 cm) than southern FMA IV values previously published. They also showed the reverse sexual size dimorphism that is known across their range. However, the estimated asymptotic length was not statistically different between the estuarine and marine females within the study area. In spite of this, the fact that the northern forms of the FMA IV were smaller than the southern specimens supports the hypothesis of more than one population of the species within this management area. The North FMA IV has the highest reported mortality levels of Franciscana dolphins within the FMA IV; these results are relevant to the knowledge base of Franciscana dolphins in the region.